| Back In Balance Counseling & Wellness | |
|
3813 Las Colinas Ave Ne Rio Rancho NM 87124-4394 | |
| (505) 903-9510 | |
| Not Available |
| Full Name | Back In Balance Counseling & Wellness |
|---|---|
| Speciality | Social Worker |
| Location | 3813 Las Colinas Ave Ne, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Stacey Demarey (OWNER) |
| Authorized Official Contact | 5059039510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Back In Balance Counseling & Wellness 3813 Las Colinas Ave Ne Rio Rancho NM 87124-4394 Ph: (505) 903-9510 | Back In Balance Counseling & Wellness 3813 Las Colinas Ave Ne Rio Rancho NM 87124-4394 Ph: (505) 903-9510 |
| NPI Number | 1962223404 |
|---|---|
| Provider Enumeration Date | 10/17/2024 |
| Last Update Date | 10/17/2024 |
| Certification Date | 10/17/2024 |
| Medicare PECOS PAC ID | 1557887627 |
|---|---|
| Medicare Enrollment ID | O20250501001592 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962223404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Stacey Demarey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598160020 PECOS PAC ID: 1456749464 Enrollment ID: I20211025001881 |
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